Organization
BRIGHT FUTURES AEI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZOE MIGEL LISW (EXECUTIVE DIRECTOR)
(505) 471-4505
Entity
Organization
Contact information
Practice address
1225 PARKWAY DR, SANTA FE, NM 87507-7262
(505) 471-4505
(505) 471-4505
Mailing address
PO BOX 8741, SANTA FE, NM 87504-8741
(505) 471-4505
(505) 471-4505
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-06152
NM
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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